complaint·April 28, 2026

Allegation: Facility staff neglect resulting in wound deterioration During the course of the investigation, interviews were conducted as well as records reviewed. Interviews indicated that R1 was transferred from a Skilled Nursing Facility with a pressure injury near their lower back. S1 and F1 both confirmed R1 was receiving care from a home health agency that lacked communication. With the help of the facility, R1 transferred to a new home health agency that is able to provide the necessary care needed for R1. R1 confirmed their health has improved while at the facility and has no problems with the care they are currently receiving from the facility or home health. Allegation: Facility staff are not meeting resident's incontinence care needs An interview conducted with R1 revealed R1 does get assistance whenever needed. R1 emphasizes the satisfaction of the care staff and feels safe living at the facility. Interview conducted with F1 revealed that R1 feels comfortable at the facility and gets assistance with changing and toileting. R1 denied any lack of care and supervision. F1 and F2 expressed their concern for the previous home health agency as there was little to no communication, but is happy with the new agency. Interview conducted with F2 revealed that the care at the facility is amazing and that they receive full assistance with activities of daily living. This agency has investigated the above complaint allegations. We have found that the complaint is UNFOUNDED, meaning that the allegation was false, could not have happened and/or is without a reasonable basis. We have therefore dismissed the complaint. Exit interview conducted and report provided.